Dimple Puthethukudi George, N P

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307244 Issued in NY

Practice address

101 Hospital Road
Brook Haven Hospital Medical Center
Patchogue, NY 11772

Phone

(631) 654-7214

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NK Medical PCGroup PAC ID 1759505290, 2 clinicians

MD Masud Billah Medical Care PCGroup PAC ID 7810340023, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (7 of 11)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: dimple.puthethukudigeorge@direct.stonybrookmedicine.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD Masud Billah Medical Care PC

  • Clinic/Center
  • Massapequa, NY
  • NPI 1609644681

  NY

  Medicare reassignment Care Compare group NPD
• NK Medical PC

  • Nephrology Physician
  • Shirley, NY
  • NPI 1467873018

  NY

  Medicare reassignment Care Compare group NPD
• A.P. New York Comprehensive Medical Care PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1992249346

  NY

  Medicare reassignment NPD
• CHS Physician Partners, PC

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345

  NY

  Medicare reassignment NPD
• Gurwinder K Sidhu Medical Services PC

  • Internal Medicine Physician
  • Brookhaven, NY
  • NPI 1629803507

  NY

  Medicare reassignment NPD
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1194100537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DARE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842004",
            "telephone_number": "631-428-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL ROAD",
            "address_2": "BROOK HAVEN HOSPITAL MEDICAL CENTER",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-654-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHETHUKUDI GEORGE",
        "first_name": "DIMPLE",
        "credential": "N P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Nicole Provisiero, FNP
• Kareshma Puglisi, PA
• Bhargava Chandra Pulipati, M.D.
• Ravi Chandra Pulipati, MD
• Soma N Pulipati, MD
• Elizabeth Quinlan, R-LCSW
• Iman Kamran Qureshi, PA-C
• Shoaib W Qureshi, R.PH.
• Lisa Rafferty
• Amy D Rafuse, PT

• All providers in Patchogue, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.